Individual provider Active NPI

Claire Timm, LMFT

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1417544248
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0002039 Issued in CO
Practice address
2627 Redwing Rd # 130
Fort Collins, CO 80526-6321
Phone
(970) 893-7600
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFTC.0013928 CO
Marriage & Family Therapist 106H00000X MFT.0002039 CO Primary

Addresses

Primary practice location

2627 Redwing Rd # 130
Fort Collins, CO 80526-6321

Mailing address

2044 Falcon Ridge Dr
Fort Collins, CO 80528-5109
Phone (760) 822-3598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 3, 2024 through Apr 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFTC.0013928COMDMental Health Counselor
MFT.0002039COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Luna Center, LLC PastSince Jan 1, 2021 Accepting new patients
Bloom Limited Mental Health PastSince Dec 10, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1417544248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 FALCON RIDGE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285109",
            "telephone_number": "760-822-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD # 130",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266321",
            "telephone_number": "970-893-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMM",
        "first_name": "CLAIRE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "MFTC.0013928",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.